Active NPI
Jeffrey Michael Rabe, PHARMD
- Pharmacist
- Washington Court House, OH
National Provider Identifier
1972046464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03333973
- Practice address
- 1430 Columbus Ave
FCMH Coumadin Clinic
Washington Court House, OH 43160-1703 - Phone
- (740) 333-2923
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03333973 | OH | Primary |
Addresses
Primary practice location
1430 Columbus Ave
FCMH Coumadin Clinic
Washington Court House, OH 43160-1703
Mailing address
1430 Columbus Ave
FCMH Coumadin Clinic
Washington Court House, OH 43160-1703
Phone (740) 333-2923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-333973 | Other | OH | OHIO STATE BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03333973 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1972046464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLUMBUS AVE",
"address_2": "FCMH COUMADIN CLINIC",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601703",
"telephone_number": "740-333-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COLUMBUS AVE",
"address_2": "FCMH COUMADIN CLINIC",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601703",
"telephone_number": "740-333-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABE",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03333973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "03-333973",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.